| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
86 |
86 |
$522.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
114 |
114 |
$174.00 |
| 96156 |
|
255 |
254 |
$104.00 |
| 85014 |
|
264 |
260 |
$31.11 |
| 92552 |
|
168 |
168 |
$29.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
261 |
260 |
$29.00 |
| 96160 |
|
45 |
43 |
$29.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 92081 |
|
143 |
143 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 90686 |
|
216 |
215 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
112 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 97802 |
|
140 |
140 |
$0.00 |